Provider Demographics
NPI:1013083708
Name:LINDSAY-ALLEN, ANNE MARIE (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:LINDSAY-ALLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:GRANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5154 COOK ST NE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-2630
Mailing Address - Country:US
Mailing Address - Phone:770-788-1778
Mailing Address - Fax:770-788-1285
Practice Address - Street 1:5154 COOK ST NE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-2630
Practice Address - Country:US
Practice Address - Phone:770-788-1778
Practice Address - Fax:770-788-1285
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA070244207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine